A nurse is reinforcing teaching with an older adult client about home safety. Which of the following client statements indicates an understanding of the teaching?

"I will place a night light in the hallway near the bathroom."

"I will use a standard height toilet seat."

"I will set my water heater to 145 degrees Fahrenheit."

"I will cover extension cords with throw rugs.”

Answer and Explanation

The Correct Answer is A

Rationale:

A. "I will place a night light in the hallway near the bathroom.": Installing night lights in commonly used paths, such as the hallway to the bathroom, helps prevent falls by improving visibility during nighttime trips, which is especially important for older adults with limited vision or balance.

B. "I will use a standard height toilet seat.": Standard height toilet seats can make sitting and standing more difficult for older adults. Raised toilet seats are safer and reduce the risk of falls by minimizing the effort required to use the toilet.

C. "I will set my water heater to 145 degrees Fahrenheit.": This temperature is too high and increases the risk of scald injuries. Water heaters should be set to no more than 120°F to protect older adults from accidental burns, as their skin is often thinner and more sensitive.

D. "I will cover extension cords with throw rugs.": Covering cords with rugs creates a tripping hazard. Extension cords should be secured against walls or removed altogether to reduce fall risk, especially in homes with elderly residents.

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Correct Answer is C

Explanation

Rationale:

A. Wipe from the outer to the inner canthus after administering the drops: The correct technique is to wipe from the inner to the outer canthus to avoid introducing pathogens into the lacrimal system. Wiping in the wrong direction increases the risk of eye infections.

B. Position the child side-lying on the bed before administering the drops: Eye drops should be administered with the child in a supine or slightly reclined position. Side-lying positioning is more appropriate for ear drops and does not allow proper exposure of the conjunctival sac.

C. Apply pressure to the lacrimal punctum after administering the drops: Pressing the lacrimal punctum (inner corner of the eye) helps prevent systemic absorption of the medication by occluding the tear duct. This increases local efficacy and reduces the risk of systemic side effects, which is especially important in children.

D. Flush the eye with formal saline solution before administering the drops: Flushing with formal saline is unnecessary unless there is debris or discharge. Routine eye drop administration does not require pre-flushing..

A. Valerian root B. Garlic C. Aloe D. Saw palmetto

Correct Answer is B

Explanation

Rationale:

A. Valerian root: Valerian root is primarily used for its sedative properties and is commonly recommended for sleep disorders or anxiety. It does not have evidence-based benefits for lowering cholesterol levels and is not appropriate for this client's condition.

B. Garlic: Garlic has been shown in some studies to modestly reduce total cholesterol and low-density lipoprotein (LDL) levels. It may also have antiplatelet effects, making it a relevant herbal supplement for clients with elevated cholesterol when used appropriately.

C. Aloe: Aloe is typically used topically for wound healing or orally for constipation. It is not known to have any significant effect on lipid levels and is not recommended for cholesterol management.

D. Saw palmetto: Saw palmetto is most commonly used for benign prostatic hyperplasia (BPH) symptoms in men. It has no known lipid-lowering effects and is not suitable for managing high cholesterol.

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A nurse is reinforcing teaching with an older adult client about home safety. Which of the following client statements indicates an understanding of the teaching?

Nursing Test Bank

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